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Organization
SIMPLY DENTAL AND ORTHODONTICS OF WAYLAND ,PLLC
Active
Organization
SIMPLY DENTAL AND ORTHODONTICS OF WAYLAND ,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIMEE HODGERNEY (OPERATIONS MANAGER)
(508) 589-8270
Entity
Organization
Contact information
Practice address
21 ELISSA AVE, WAYLAND, MA 01778-3154
(508) 589-8270
(508) 435-2690
Mailing address
87 ELM ST STE 302, HOPKINTON, MA 01748-1638
(508) 589-8270
(508) 435-2690
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
DN20511
MA
Other
Enumeration date
08/14/2018
Last updated
05/24/2019
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